State Agencies Woo the Rural Uninsured to Sign Up for New Exchange

PIKEVILLE, Ky.—Rebecca Kimberlain, a 44-year-old paralegal who doesn't have health insurance and never goes to the doctor for checkups, said that if she had a medical condition, "I wouldn't know about it." So as she walked around the Hatfield and McCoy Heritage Days festival here over Labor Day weekend, a health-care booth caught her eye.

Staffers promoting the state's health-insurance marketplace, which is dubbed kynect and scheduled to debut Oct. 1 as part of the federal health-care law, explained that Ms....